Healthcare Provider Details

I. General information

NPI: 1588982334
Provider Name (Legal Business Name): ASHISH ASSOCIATES OF HOLLYWOOD, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/04/2010
Last Update Date: 05/04/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1050 SE MONTEREY RD SUITE 301
STUART FL
34994-4512
US

IV. Provider business mailing address

1050 SE MONTEREY RD SUITE 301
STUART FL
34994-4512
US

V. Phone/Fax

Practice location:
  • Phone: 772-260-7402
  • Fax:
Mailing address:
  • Phone: 772-260-7402
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207VG0400X
TaxonomyGynecology Physician
License NumberME78776
License Number StateFL

VIII. Authorized Official

Name: SHEETAL KANAR KUMAR
Title or Position: OWNER
Credential: MD
Phone: 772-260-7402